Dentistry and distributive justice.

Full Abstract

There is a growing concern in most countries to address the problem of inequities in health-care within the context of financial restraints on the public purse and the realities of health professions that are influenced strongly by the economic priorities of free-market economies. Dental professionals, like other health professionals, are well aware that the public expects oral health-related services that are effective, accessible, available and affordable. Yet, there is remarkably little reference in the literature to the theories of distributive justice that might offer guidance on how an equitable oral health service could be achieved. This paper considers three prominent theories of distributive justice--libertarianism, egalitarianism and contractarianism--within the controversial context of basic care and quality of life. The discussion leads towards a socially responsible, egalitarian perspective on prevention augmented by a social contract for curative care with the aim of providing maximum benefit to the least advantaged in society.

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Author information

Author/s: Dharamsi, Shafik (S); MacEntee, Michael I (MI);

Affiliation: Department of Clinical Dental Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.

Journal and publication information

Publication Type: Journal Article

Journal: Social science & medicine (1982) (Soc Sci Med), published in England. (Language: eng)

Reference: 2002-Jul; vol 55 (issue 2) : pp 323-9

Dates: Created 2002/07/29; Completed 2002/08/13; Revised 2004/11/17;

PMID: 12144145, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Decision Making
Dental Care - standards
Health Care Rationing
Health Services Accessibility - standards

Health Services Accessibility - standards
Humans
Quality of Life
Social Justice

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